Study on the disease burden of Chinese adolescent in 2015

Xu, R. B.; Jin, D. Y.; Song, Y.; Wang, X. J.; Dong, Y. H.; Yang, Z. G.; Chen, Y. J.; Ma, J.

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Study on the disease burden of Chinese adolescent in 2015
Citation	Xu RB, Jin DY, Song Y, Wang XJ, Dong YH, Yang ZG, Chen YJ, Ma J. Zhonghua Yu Fang Yi Xue Za Zhi 2017; 51(10): 910-914.
Affiliation	Peking University Health Science Centre. Institute of Child and Adolescent Health of Peking University, Beijing 100191, China.
Copyright	(Copyright © 2017, Zhonghua yi xue hui)
DOI	unavailable
PMID	29036993
Abstract	OBJECTIVE: To discuss the main causes and risk factors of disability and death among current Chinese adolescents. METHODS: Subnational data of China from Global Burden of Disease Study 2015 (GBD 2015) was used to rank the causes and risk factors leading to death and disability adjusted life years (DALY) in Chinese adolescents aged between 10 and 19 years old, and thereby to analyze the main cauese and risk factors of death and DALY among Chinese adolescents in different genders. RESULTS: In 2015, among Chinese adolescents aged 10-19 years old, the total DALY was 13 million 490 thousand years, and the total number of deaths was 63 258 cases. The top 3 causes of DALY were skin and subcutaneous diseases, iron-deficiency anemia and road injuries, resulting in DALY (constituent ratio) of 1 411 (10.5%), 1 094 (8.1%) and 1 029 (7.6%) thousand years respectively. The top 3 causes of death were road injuries, drowning and leukemia, causing 13 881 (21.9%), 9 895 (15.6%) and 4 620 (7.3%) deaths (constituent ratio) respectively. The top 3 risk factors of DALY were iron deficiency, alcohol use and drug use, causing 1 094 (8.1%), 487 (3.6%) and 220 thousand years (1.6%) DALY (constituent ratio) respectively. The top 3 risk factors of death were alcohol use, occupational injuries and drug use, causing 5 957 (9.4%), 1 523 (2.4%) and 810 (1.3%) deaths respectively. CONCLUSION: Unintentional injury was the top cause of DALY and death in Chinese adolescents, followed by skin and subcutaneous diseases and iron-deficiency anemia. Iron deficiency and alcohol use were the top two risk factors of DALY and death. Language: zh 目的：探讨当前导致中国青少年死亡和伤残的主要原因及危险因素。方法：利用2015年全球疾病负担研究（GBD 2015）中的中国青少年疾病负担数据，将导致中国10~19岁青少年伤残调整寿命年（DALY）和死亡的原因及危险因素进行排序，分析影响中国不同性别青少年DALY和死亡的主要原因及危险因素。结果： 2015年中国10~19岁青少年DALY为1 349.0万人年，死亡人数为63 258例。导致中国10~19岁青少年DALY的前3位原因依次是皮肤和皮下疾病、缺铁性贫血、道路伤害，造成的DALY分别为141.1（10.5%）、109.4（8.1%）和102.9（7.6%）万人年。导致青少年死亡的前3位原因分别是道路伤害、溺水、白血病，造成的死亡例数（构成比）分别为13 881（21.9%）、9 895（15.6%）和4 620例（7.3%）。导致青少年DALY的前3位危险因素分别是铁缺乏、饮酒和药物使用，造成的DALY（构成比）分别为109.4（8.1%）、48.7（3.6%）和22.0（1.6%）万人年。导致青少年死亡的前3位危险因素分别为饮酒、职业伤害和药物使用，分别造成死亡（构成比）5 957（9.4%）、1 523（2.4%）和810例（1.3%）。结论：非故意伤害是造成我国青少年DALY和死亡的最主要原因，其次是皮肤和皮下疾病、缺铁性贫血；铁缺乏和饮酒是导致青少年DALY和死亡的最主要危险因素。. Language: zh
Keywords	Adolescent; China; Cost of illness; Disability adjusted life years; Mortality